Whalio Doctors

NPI 1013272665

Dr. Edmund Cavazos PLLC

Organisation Psychiatry Physician San Antonio, TX

Practice location

Address
4402 Vance Jackson Rd STE 100, San Antonio, TX 78230
Phone
(210) 688-7735
Fax
(210) 698-7835
Mailing address
503 Avenue a APT 1130, San Antonio, TX 78215-1272

Authorised official

Name
Edmund Cavazos
Title
Owner
Phone
(512) 551-2949

Registered specialties

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence J5084 (TX)

Registry record

NPI
1013272665
Entity type
Organization
NPI issued
10 Jul 2012
Record last updated
30 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.